Accounting Services for Healthcare in Colmworth
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Supporting medical practices and private clinics with accounts, tax, bookkeeping, payroll and financial management.
Professional preparation of your annual financial statements.
Accurate and timely filing of all required tax submissions.
Accurate and up-to-date records for your practice.
Efficient payroll management for your staff.
Planning your tax position efficiently while staying compliant.
Healthcare finances rarely arrive in one tidy stream. Most practitioners and practices deal with a blend of income sources, employment arrangements and tax rules that do not fit neatly into a standard small-business template.
Specialised knowledge of NHS funding and healthcare business accounting.
Our team focuses on your financial needs and provides solutions tailored to your business.
We provide bespoke services to ensure your financial processes are accurate.
We deliver precise financial reports on time, giving you full compliance with HMRC.
Our services offer transparent, upfront pricing with no hidden costs.
We handle all your accounting and financial tasks efficiently.
We begin by getting to know your practice and your specific needs. This step ensures we have a clear picture of your challenges, goals, and the opportunities available to you.
Based on our initial discussion, we create a personalised plan designed specifically for you. Our aim is to keep your healthcare finances straightforward, with your numbers handled accurately and professionally by dedicated healthcare accountants.
From there, we take care of the ongoing work and keep you updated with clear, regular reports. We're always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
We use the latest technology to offer customised financial strategies. Thus, helping healthcare practices grow and thrive.
Our team offers dedicated accounting services tailored to your specific healthcare business. This ensures financial stability and growth for you.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
The work splits broadly into compliance and advice. Compliance covers Self Assessment tax returns, annual accounts, Corporation Tax returns, VAT returns, payroll and the associated deadlines with HMRC and Companies House. Advice covers the areas specific to healthcare: how to report NHS income alongside private fees, which professional costs are allowable, whether part of your work falls outside the VAT healthcare exemption, how associate or locum arrangements should be treated, and whether your current business structure still suits your level of profit. For practice owners, it also often includes management accounts that show profitability by practitioner or service line.
A general accountant can file a tax return correctly in many straightforward cases, so this is less about necessity and more about fit. Healthcare throws up recurring quirks: income from several sources in one return, indemnity and registration costs, VAT exemption boundaries, and payroll for mixed clinical teams. An accountant who deals with these regularly is likely to spot planning opportunities and risks faster, ask fewer irrelevant questions and avoid treating exempt healthcare income as standard taxable turnover. If your affairs are simple and single-source, a general practitioner may be perfectly adequate; if they are mixed or growing, the difference becomes more noticeable.
They are usually reported together on the same Self Assessment, but each source needs correct classification and record keeping. Salaried NHS income normally arrives through PAYE, while private fees are self-employed income with expenses claimed against them. Where you have both, we reconcile the PAYE already deducted against the total liability, and we check whether payments on account are likely to apply. Because mixed income can push you into higher rates or affect your allowances, it is worth reviewing before year end rather than after, so there is time to plan drawings and any pension contributions properly.
Commonly claimed items include professional registration and revalidation fees, medical indemnity or malpractice insurance, professional body subscriptions, specialist equipment and clinical clothing that is not everyday wear, mileage or travel between work sites, and a proportionate share of home costs where genuine business administration happens there. What qualifies depends on your exact circumstances and how the expense relates to earning your income, so claims need to be supportable rather than simply assumed. We review expenses with you and explain the reasoning, which makes it much easier to answer HMRC if a claim is ever queried.
It depends on what you provide. Most medical and health-related care is exempt from VAT, but services that fall outside that exemption, such as some cosmetic or aesthetic treatments, certain wellbeing services, product sales and non-clinical work, can be taxable. Where a business provides a mix, registration and partial exemption rules come into play. The practical step is to map your services against the exemption rules and monitor taxable turnover against the registration threshold, rather than assuming healthcare means no VAT responsibility at all.
Yes. Payroll support covers employees such as practice managers, reception and administration staff, nurses and clinicians, as well as the more complicated arrangements that come with sessional or associate work. That includes calculating pay and deductions, issuing payslips, submitting Real Time Information reports to HMRC and handling workplace pension duties. Where employment status is unclear, for example with long-standing locum arrangements, we can review how the relationship works in practice, because getting that wrong can create unexpected tax and National Insurance liabilities.
Yes. Most of the process works well remotely: documents can be shared securely, bookkeeping can run through cloud accounting software, and meetings can be arranged around clinic lists, surgeries or home visits rather than fixed office hours. What matters is having a clear arrangement for getting information to us, whether that is a monthly upload, a quarterly review or a secure shared folder. Many healthcare clients find remote working simpler precisely because it removes the need to travel during a working day.
Start with a conversation about how you currently work and what is causing you difficulty. Bring whatever you have to hand, such as recent tax returns, accounts, payroll records, HMRC correspondence or software logins, and we can review your position and set out the options. There is no need to have everything in order first; tidying up incomplete records is a routine part of the work. If you are already with another accountant, we can also help arrange the handover so nothing is missed.
